US20110307001A1 - Oscillating tissue dissector - Google Patents
Oscillating tissue dissector Download PDFInfo
- Publication number
- US20110307001A1 US20110307001A1 US13/157,044 US201113157044A US2011307001A1 US 20110307001 A1 US20110307001 A1 US 20110307001A1 US 201113157044 A US201113157044 A US 201113157044A US 2011307001 A1 US2011307001 A1 US 2011307001A1
- Authority
- US
- United States
- Prior art keywords
- rod
- tube
- ribs
- tissue dissector
- disposed
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00075—Motion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320028—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/08—Lipoids
Definitions
- Exemplary embodiments of the present invention relate to an oscillating tissue dissector.
- Liposuction refers to the surgical removal of adipose tissue from fat deposits by agitation and suction.
- a cannula which may be a stainless steel tube having one or more holes in its distal end, is inserted into an incision and positioned into adipose tissue, between the dermal layers and the underlying muscle tissue.
- a suction device is attached to the proximal end of the cannula, i.e., the end of the cannula held by the user.
- a cannula is moved through adipose tissue in a back-and-forth manner, to create tunnels within the adipose tissue.
- This back-and-forth movement may be enhanced by using a vibration device, as the fat is suctioned by the suction device through the cannula, decreasing the volume of the adipose tissue.
- incisions may be made during a liposuction procedure with the incisions being linear incisions or adits and are typically 3 mm to 20 mm in length or diameter, respectively. Ideally, incisions are as small as possible in attempt to make them less visible.
- Liposuction may take multiple hours to perform with a conventional cannula, and multiple liposuction techniques are currently in use, including laser-assisted liposuction (LAL), power-assisted liposuction (PAL), ultrasonic assisted liposuction (UAL), and water jet assisted liposuction.
- LAL laser-assisted liposuction
- PAL power-assisted liposuction
- UAL ultrasonic assisted liposuction
- water jet assisted liposuction water jet assisted liposuction.
- a larger incision is generally required. Trauma to the skin during UAL procedures, due to local heating caused by the ultrasonic vibrations can cause damage. Further, many conventional cannulae may cause bruising, damage to connective tissue, discomfort, pain, scarring, swelling, and tenderness. Additionally, the motion of conventional cannulae through the adipose tissue may require not only manual dexterity but also physical stamina, due to the length of the operation and the force that must be applied to guide the cannula within tissue.
- tissue dissector that does not include a cannula.
- Exemplary embodiments of the present invention provide for a tissue dissector that may more efficiently dissect adipose tissue with less damage to surrounding tissue, blood vessels, and nerves, while being able to be inserted into a relatively small surgical incision.
- An exemplary embodiment of the present invention provides a tissue dissector that includes: a tube having a proximal end and a distal end; a rod disposed within the tube, ribs attached to the rod and extending outside of the tube; a housing disposed at the proximal end of the tube; an actuator disposed in the housing, to rotationally oscillate the rod with respect to the tube; and a first seal disposed around the rod, to prevent fluid from entering the tube.
- a standard suction cannula may be used to aspirate some or all of the fatty tissue. Any remaining fatty tissue remains viable, as it has not been subjected to laser irradiation or ultrasound. The remaining tissue can be sculpted into a desired shape.
- FIG. 1 illustrates a sectional view of a tissue dissector, according to an exemplary embodiment of the present invention.
- FIGS. 2A , 2 B, 2 C, and 2 D illustrate top and side views of ribs of a tissue dissector, according to exemplary embodiments of the present invention.
- FIG. 3A illustrates sectional view of a tissue dissector, according to an exemplary embodiment of the present invention.
- FIG. 3B illustrates a perspective view of a tube of the tissue dissector of FIG. 3A .
- FIGS. 4A , 4 B, 4 C, and 4 D illustrate the operation of an actuator of the tissue dissector of FIG. 2
- FIG. 1 is a cross-sectional view showing a tissue dissector 100 , according to a first exemplary embodiment of the present invention.
- the tissue dissector 100 has a proximal end 104 and a distal end 105 .
- the tissue dissector 100 includes a tube 102 , a rod 108 that extends through the tube 102 , and ribs 110 .
- the ribs 110 are connected to the distal end the rod 108 , which is exposed outside of the tube 102 .
- the ribs 110 may be formed of a metal, such as stainless steel.
- the ribs 110 may be attached to the rod 108 in any suitable manner.
- the ribs 110 may be welded to the rod 108 .
- the ribs 110 may be circular in cross-section, i.e., wire-shaped.
- the ribs 110 may also be rectangular in cross-section, i.e., ribbon-shaped, ovoid in cross-section, or triangular in cross-section.
- the present invention is not limited to any particular type of rib shape.
- FIGS. 2A , 2 B, 2 C and 2 D illustrate top and perspective views of rods 108 having various numbers of the ribs 110 attached thereto, in various configurations.
- FIG. 2A instead of the two ribs 110 as shown in the embodiment of FIG. 1 , four ribs 110 are attached to the rod 108 .
- the ribs 110 are attached to the rod 108 such that the ribs 110 have a single radius of curvature.
- the ribs 110 are attached to points on the rod 108 that are disposed on a line extending along the length of the rod 108 .
- three ribs 110 are attached to the rod 108 .
- the ribs 110 are attached to the rod 108 such that the ribs 110 have two radii of curvature.
- the attachment points of the ribs 110 to the rod 108 are not disposed on a line extending along the length of the rod 108 .
- two ribs 110 are attached to the rod 108 .
- the ribs 110 are ribbon-shaped, in contrast to the wire-shaped rods 110 of FIGS. 1 , 2 A, and 2 B.
- the ribs 110 of FIG. 2C are attached to the rod 108 , such that the ribs 110 have two radii of curvature.
- ribs 110 are attached to the rod 108 .
- the ribs 110 are attached to the rod 108 in positions similar to those shown in FIG. 2A .
- adjacent ones of the ribs 110 are also bent so as to contact one another at contact points 111 , thereby creating second radii of curvature. Due to the contact points 111 , the rigidity of the ribs 110 is increased.
- ribs 110 may be attached to the rod 108 , and the ribs may have more than one radius of curvature. Additionally, a combination of fused and un-fused ribs 110 may be used. However, as a general principal, the ribs 110 should be symmetrically attached to the rod 108 , such that the resultant structures are balanced when oscillated, as discussed below.
- the tube 102 may be formed of a rigid material, such as stainless steel or the like.
- the tube 102 may be from about 200 to about 400 mm long and from about 3 to about 5 mm in diameter.
- the tube 102 may be 300 mm long and may have a diameter of about 4 mm.
- the tube 102 is substantially thinner than a conventional liposuction cannula, since the tube 102 is not used to remove adipose tissue.
- the rod 108 may be formed of a rigid material or a flexible material having a high torsional rigidity.
- the rod 108 may be made of a metal, plastic, or a composite material.
- the rod 108 is formed of stainless steel.
- a seal 106 is disposed around the rod 108 at the distal end of the tube 102 .
- the seal 106 prevents fluid from entering the tube 102 .
- the seal 106 may be, for example, a rubber or silicon gasket.
- the seal 106 may include a bearing that prevents motions of the rod 108 from being transferred to the tube 102 .
- a housing 120 is connected to the proximal end of the tube 102 .
- the housing 120 may be shaped to operate as a handle.
- a transmission 112 , an actuator 114 , and a controller 116 are disposed in the housing 120 .
- the actuator 114 oscillates the rod 107 via the transmission 112 and under the control of the controller 116 .
- the actuator 114 is connected to the transmission 112 by a drive shaft 113 .
- the actuator 114 rotates the drive shaft 113 , and the transmission 112 converts the rotational motion of the drive shaft 113 into an oscillating motion.
- oscillation refers to a non-rectilinear (rotational) reciprocation.
- the transmission may rotate the rod 108 clockwise and counter clockwise in, for example, a 30 degree arc.
- the present invention is not limited thereto, as the rod 108 may be oscillated in arcs of from 20 degrees to 40 degrees.
- the operation of the actuator 114 is controlled by the controller 116 .
- the controller may be connected to a power source (not shown) or may include a power source.
- the power source may be an AC voltage source or a rechargeable battery.
- the controller may vary the amount of current supplied to the actuator 114 , in order to vary the amount of torque produced by the actuator 114 , as discussed below.
- the actuator 114 may be an electric motor that operates using a DC voltage or an AC voltage, depending on the type of power supply.
- the controller 116 may include a central processing unit. If the actuator 114 operates using a DC voltage, the controller 115 may include a power rectifier to convert an AC voltage into a DC voltage.
- tissue dissector 100 is inserted into a patient, and the oscillating ribs 110 impact target tissues, thereby dissecting the tissues.
- the tissue may be adipose tissue and/or fibrous tissue, such as, lipomas, abnormal collections of fatty tissue e.g., Buffalo hump deformities, gynecomastia (abnormal male breast deformity) tissue, and the like.
- the ribs 110 are formed of a flexible material, the ribs 110 maybe bent towards the rod 108 when the ribs 110 encounter fibrous tissue. As a result, the torque applied by the ribs 110 to such tissue increases, in accordance with the amount of bending. As a result, the force applied to such tissue may be automatically increased, thereby allowing the tissue dissector 100 to breakup fibrous tissue. In addition, the ribs 110 can be bent during insertion into a patient, to decrease the size of a corresponding incision.
- the controller 116 can detect the presence of fibrous tissue by, for example, monitoring the resistance encountered by the actuator 114 . In such circumstances, the controller 116 can increase the amount of current applied to the actuator 114 , to thereby increase the torque applied to the ribs 110 . According to other embodiments, the torque applied to the ribs 110 can be manually controlled.
- the tube 102 Since the tube 102 is isolated from the movement of the rod 108 by the seal/bearing 106 , the tube 102 does not oscillate during tissue dissection. As such, friction between the tube 102 and non-target tissue, for example skin, is greatly decreased. Accordingly, friction burns and/or bruising can be substantially reduced. In addition, the tissue dissector 100 is easier and less strenuous to use, since the handle is also isolated from the movement of the rod 108 .
- FIG. 3 illustrates a sectional view of a tissue dissector 200 , according to another exemplary embodiment of the present disclosure.
- FIG. 3B is a perspective view of a tube 202 shown in FIG. 3 .
- the tissue dissector 200 is similar to the tissue dissector 100 shown in FIG. 1 , thus, only the differences therebetween will be described in detail.
- the tissue dissector 200 has a proximal end 204 and a distal end 205 .
- the tissue dissector 200 includes the tube 202 , a rod 208 disposed within the tube 202 , ribs 210 connected to the rod 208 , and a housing 120 connected to the proximal end of the tube 202 .
- An actuator 212 and a controller 216 are disposed in the housing 220 .
- the ribs 210 are offset from the distal end 205 of the tissue dissector 200 .
- the ribs 210 are offset from the distal end of the rod 208 .
- the tube 202 includes a rounded distal end 222 and openings 224 disposed adjacent to the distal end 222 .
- the rod 208 extends into the distal end 222 , such that the ribs 210 extend out of the openings 224 .
- the openings 224 are recessed, such that the ribs 210 can oscillate without contacting the tube 208 .
- openings 224 and two ribs 210 are shown in FIGS. 3A and 3B , the present invention is not limited thereto. In particular, other numbers of ribs 210 may be included, so long as the openings 224 are modified accordingly.
- the openings can be shaped to each accommodate two of the ribs 210 , such that the tissue dissector 220 includes a total of four of the ribs 210 .
- three of the openings 224 can be provided, if the tissue dissector 220 includes three of the ribs 210 .
- the tissue dissector 200 includes seals 206 disposed between the rod 208 and the tube 202 .
- the seals 206 prevent fluid from entering the tube 202 .
- the seals 206 may be gaskets or bearings, as recited above. As such, the seals 206 isolate the tube from the motion of the rod 208 .
- the distal end of the tube 202 is generally rounded. However, the distal end may be various shapes such as flat, oval, and oblong and may include various terminal shapes, such as a tapered or a bifurcated, V-shape end.
- the tube 202 may also be round or various shapes such as flat, oval, and oblong.
- the distal end may move aside blood vessels and nerves.
- the ribs 210 although breaking down the adipose tissue, may not harm other surrounding tissues such as dermal tissue or nerves, thereby reducing bruising, nerve damage, tissue damage, and pain.
- the actuator 212 is connected to the rod 208 and oscillates the rod 208 under the control of the controller 216 .
- the actuator 212 may be driven using a vacuum source (not shown) or a compressed air source (not shown).
- FIGS. 4A , 4 B, 4 C, and 4 D illustrate sectional views of the actuator 212 while in operation.
- the actuator 212 includes a housing 400 having a connection port 401 and vents 402 , 404 formed therein.
- the connection port 401 can be connected to a suction source (not shown).
- a baffle 406 is disposed inside the housing and divides the internal area of the housing 400 into first and second areas.
- the baffle 406 includes openings 414 and 416 .
- the actuator 212 also includes a rod 408 , a vane 410 connected to the rod 408 , gaskets 422 , 424 , and a linkage 420 connecting the gaskets 422 , 424 .
- the gaskets 422 , 424 each include two protrusions that selectively seal the vents 402 , 404 and the openings 414 and 416 .
- the vane 410 includes protrusions 412 that contact the gaskets 422 , 424 . Movements of the vane 410 rotate the rod 408 , which is attached to the rod 208 .
- suction is applied to the connection port 401 . Due to the positions of the gaskets 422 , 242 , the aperture 414 and vent 404 are sealed, and the vent 402 and aperture 416 are open. Accordingly, the suction is applied to a first side of the vane 410 through the aperture 416 , such that the vane 410 is moved in direction A. As the vane 410 is moved in direction A, external air is drawn into the housing 400 through the vent 402 .
- one of the protrusions 412 contacts the gasket 422 , such that the gasket 422 moves toward the baffle 406 .
- the gasket 422 seals the aperture 416 and opens the vent 404 .
- the movement of the gasket 422 is transferred to the gasket 424 by the linkage 420 .
- the gasket 424 is moved away from the baffle 406 , thereby sealing vent 402 and opening the aperture 414 .
- the suction is then applied to a second side of the vane 410 , thereby moving the vane 410 in direction B.
- the vane 410 is moved in direction B, external air is drawn into the housing 400 through the vent 404 by the movement of the vane 410 .
- one of the protrusions 412 contacts the gasket 424 , such that the gasket 424 moves toward the baffle 406 , and gasket 422 moves away from the baffle 406 .
- the suction is again applied to the first side of the vane 410 , and the vane 410 begins to move in direction A, and the above process is repeated.
- the vane 410 oscillates the rod 408 , which oscillates the rod 208 .
- the tissue dissector 200 can be driven using a suction source commonly found in an operating room.
- the suction source can be attached to a conventional cannula for liposuction of the dissected tissue.
- the degree of oscillation can be varied, by varying the location of the baffle 406 and/or by angling opposing sides of the baffle 406 with respect to the rod 408 .
- the protrusions 412 may be omitted, and the vane 412 may directly contact the gaskets 422 , 424 .
- the actuator 212 can be driven using compressed air.
- the tissue dissector 200 may be operated in a manner similar to that of the tissue dissector 100 .
- the actuator 212 can be substituted for the actuator 114 and transmission 112 , and vice versa.
- the overall lengths of the tissue dissectors 100 , 200 may range from about 10 cm to 80 cm, and the length of the tubes 102 , 202 may range from 9 cm to 79 cm.
- the outer diameters of the tubes 102 , 202 may range from several millimeters to several centimeters.
- the total length of the ribs 110 , 210 may range from 1 cm to 8 cm.
- the ribs 110 , 210 a radius of curvature ranging from 170 to 190 degrees.
- the surface of the ribs 110 , 210 may be generally smooth and/or rounded.
- the dissection of adipose tissue may be highly efficient using the tissue dissectors 100 , 200 , as compared with conventional tissue dissectors, due to a number of factors.
- the larger cross section of the ribs creates a larger cross sectional area of tunnels formed within the adipose tissue. Further, besides the increased cross sectional area of the tunnels, the ribs may contact more adipose tissue per thrust movement by virtue of the shape of the ribs.
- the tube of the tissue dissector is not oscillated, unwanted skin irritation and burning are reduced, and the tissue dissector is less strenuous to operate.
- the tube is thinner than conventional liposuction cannula, the tissue dissector can be inserted into a smaller incision.
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/157,044 US20110307001A1 (en) | 2010-06-09 | 2011-06-09 | Oscillating tissue dissector |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US35297610P | 2010-06-09 | 2010-06-09 | |
US13/157,044 US20110307001A1 (en) | 2010-06-09 | 2011-06-09 | Oscillating tissue dissector |
Publications (1)
Publication Number | Publication Date |
---|---|
US20110307001A1 true US20110307001A1 (en) | 2011-12-15 |
Family
ID=45096828
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/157,044 Abandoned US20110307001A1 (en) | 2010-06-09 | 2011-06-09 | Oscillating tissue dissector |
Country Status (2)
Country | Link |
---|---|
US (1) | US20110307001A1 (fr) |
WO (1) | WO2011156606A1 (fr) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20140005637A1 (en) * | 2012-06-30 | 2014-01-02 | Elite Body Sculpture | Laser Nil Liposuction System and Method |
US9055967B1 (en) * | 2014-11-07 | 2015-06-16 | Oscar R Polo | Tissue severing device having dual reciprocating looped blades and methods of use |
US10660666B2 (en) | 2018-07-12 | 2020-05-26 | Steven William Walton | Cutting tool |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11452540B2 (en) | 2019-05-30 | 2022-09-27 | Covidien Lp | Wireless tissue dissector |
US11540852B2 (en) | 2019-05-30 | 2023-01-03 | Covidien Lp | Wireless tissue dissector |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1997038635A1 (fr) * | 1996-04-12 | 1997-10-23 | Surgical Dynamics, Inc. | Dispositif de coupe chirurgical relie de maniere amovible a un element d'entrainement rotatif |
US6638238B1 (en) * | 1999-12-09 | 2003-10-28 | The Regents Of The University Of California | Liposuction cannula device and method |
US20020151874A1 (en) * | 2001-04-12 | 2002-10-17 | Kolster Alwin H. | Liposuction cannula device and method |
US8034003B2 (en) * | 2003-09-11 | 2011-10-11 | Depuy Mitek, Inc. | Tissue extraction and collection device |
US8006578B2 (en) * | 2005-10-12 | 2011-08-30 | Kiester Douglas P | Apparatus and method for a high speed rotation-to-rotation oscillation converter for surgical use |
-
2011
- 2011-06-09 WO PCT/US2011/039809 patent/WO2011156606A1/fr active Application Filing
- 2011-06-09 US US13/157,044 patent/US20110307001A1/en not_active Abandoned
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20140005637A1 (en) * | 2012-06-30 | 2014-01-02 | Elite Body Sculpture | Laser Nil Liposuction System and Method |
US9700375B2 (en) * | 2012-06-30 | 2017-07-11 | Rollins Enterprises, Llc | Laser NIL liposuction system and method |
US10517638B2 (en) | 2012-06-30 | 2019-12-31 | Rollins Enterprises, Llc | Laser nil liposuction system and method |
US9055967B1 (en) * | 2014-11-07 | 2015-06-16 | Oscar R Polo | Tissue severing device having dual reciprocating looped blades and methods of use |
US10660666B2 (en) | 2018-07-12 | 2020-05-26 | Steven William Walton | Cutting tool |
Also Published As
Publication number | Publication date |
---|---|
WO2011156606A1 (fr) | 2011-12-15 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |